11D2280262 CLIA NUMBER - AXIS JOINT AND SPINE SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2280262
  • Facility Name: AXIS JOINT AND SPINE SURGICAL CENTER
  • Facility Address: 1001 VIRGINIA AVENUE, SUITE 150
    HAPEVILLE, GA
    ZIP 30354
  • Facility Phone: 678 782-7999
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FITZ N. HARPER JR
  • NPI Number: 1134839988
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2280262
LAB Type Ambulatory Surgery Center
Facility Name AXIS JOINT AND SPINE SURGICAL CENTER
Street 1001 VIRGINIA AVENUE, SUITE 150
City HAPEVILLE
State GA
ZIP 30354
Phone 678 782-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Ambulatory Surgery Center
Lab Director FITZ N. HARPER JR

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This page was last updated on: 9/29/2025